Alcantara, Bb Boy .

HRN: 25-57-88  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/05/2024
AMPICILLIN 250MG (VIAL)
08/05/2024
08/12/2024
IV
100 MG
Q 12 HRS
T/C NEONATAL SEPSIS
Waiting Final Action 
08/05/2024
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
08/05/2024
08/11/2024
IV
30 MG
Q 24 HRS
T/C NEONATAL SEPSIS
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: